Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH WARREN BERDEEN II, COTA/L
Active Sole ProprietorMR. KENNETH WARREN BERDEEN II, COTA/L is a Occupational Therapy Assistant healthcare provider located in LEDYARD, Connecticut. NPI 1265798524 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LEDYARD, CT
Registration Details
- NPI Number
- 1265798524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2012 (14.301058093846 yrs)
- Last Updated
- Apr 11, 2012
- License
-
001179 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
220 HALEY RDLEDYARD, CT, 06339Browse CT providers · Browse ZIP 06339
- Phone
- 4019328050
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.